Pediatric Oasis

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PEDIATRIC OASIS

Practice address

12 Dogwood Way
Troy, VA 22974-6231

Phone

(304) 719-5598

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sherain Bruce, MOT, OTR/L, CASNPI 1699275198

Title

Owner/Ceo

Phone

(304) 719-5598

Specialties & licenses 8

Addresses

Other names 1

• Peds Oasis Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherain Bruce, CAREGIVER

  • Personal Care Attendant
  • Carrollton, GA
  • NPI 1699275198
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1992429930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DOGWOOD WAY",
            "city": "TROY",
            "state": "VA",
            "postal_code": "229746231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DOGWOOD WAY",
            "city": "TROY",
            "state": "VA",
            "postal_code": "229746231",
            "telephone_number": "304-719-5598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Lexie Ln",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "VA",
            "postal_code": "229632078",
            "country_code": "US",
            "telephone_number": "434-282-4537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC OASIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "SHERAIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "304-719-5598",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L, CAS"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peds Oasis",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sinan Kamal, M.D.
• Brian Kiernan, PH.D.
• Andrew Mikesh
• Laura Elizabeth Moyers, LCSW
• Christina Henderson Paxson, L.AC., DIPL.AC.
• Pine Ridge Therapy Services PLLC
• Bhima Rai
• Chey Robb-Gamboa, FNP
• Beverly Rosser
• Charlotte A Schafer, LPC. MA

• Rehabilitation Clinic/Center in Troy, VA
• Providers in Troy, VA by specialty
• Rehabilitation Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.